Active NPI
Riverside Mercy Hospital
Doing business as St Anne Mercy Hospital
- Emergency Medicine Physician
- Toledo, OH
National Provider Identifier
1700806023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- RIVERSIDE MERCY HOSPITAL
- Doing business as
- St Anne Mercy Hospital
- Practice address
- 3404 W Sylvania Ave
Toledo, OH 43623-4467 - Phone
- (419) 407-2663
- NPI assigned
- Jul 20, 2006
- Last updated
- Apr 8, 2008
- Organization subpart
- Yes
- Parent organization
- ST ANNE MERCY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samatha Platzke
- Title
- Cfo
- Phone
- (419) 251-2046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
3404 W Sylvania Ave
Toledo, OH 43623-4467
Mailing address
2200 Jefferson Ave
4TH FL
Toledo, OH 43624-1120
Phone (419) 251-8997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2805067 | Medicaid | OH |
Other names 1
- St Anne Mercy Hospital
National Provider Directory
National Provider Directory- Part of
- RMH Dba Northern Lights
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207612800000",
"number": "1700806023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "4TH FL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436241120",
"telephone_number": "419-251-8997",
"fax_number": "419-251-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 W SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234467",
"telephone_number": "419-407-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE MERCY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST ANNE MERCY HOSPITAL",
"enumeration_date": "2006-07-20",
"last_updated": "2008-04-08",
"status": "A",
"authorized_official_last_name": "PLATZKE",
"authorized_official_first_name": "SAMATHA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "419-251-2046"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2805067",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Anne Mercy Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.